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For Volunteers & Donors
Part 1 - Personal Particulars
   
*Name:
  Dr Mr Mrs Ms Mdm
NRIC/ Citizenship No.:
Nationality:
Home Telephone:
Mobile:
*Email:
Gender: Male Female
Marital Status:
Age:
Race:
   
Part 2 - Language Proficiency
   
Spoken:
Written:
   
Part 3 - Tell Us More
   
How do you hope to make a difference as an IMH volunteer?
   
Part 4 - Volunteer Interests
  Gardening Music Therapy
  Singing & Dancing Art Therapy
  Patient Outings Wall Murals
  Games & Sports Befriending
  Festive Celebrations Event Support
  Host IMH Tours/ Meet & Greet Fund-raising
  Pet Therapy Others (pls specify)
   
   
Part 5 - Availability
  Ad-hoc/ Project Basis
  Permanent Basis
    Yearly Half-yearly Quarterly Monthly Fortnightly Weekly
   
Part 6 - Understanding
I understand that IMH reserves the right to accept or decline my voluntary services depending on the match between my interests and the current needs of IMH. If my services are rendered, I will abide by the terms and conditions of IMH. I will keep information given by staff and/ or volunteers confidential.
   
 
 
   
     
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